The Royal Thames Valley Hospital

1. The Royal Thames Valley Hospital PUBLIC MEETING 21st Century Patient Care: Challenges & Opportunities A Vision of a Sustainable Healthcare Plan for the Thames Valley Dr Phillip Lee MB BS MSc (Oxon) BSc (hons) Member of Parliament for Bracknell Constituency

2. BENEFITS OF NEW HOSPITAL PLAN Care • Provide acute and specialist services on a single site • Improve access to diagnostics such as lab. & imaging • Appropriate treatment closer to home • New infrastructure required to meet increasing healthcare demands Building • Provide ‘state-of-the-art’ facilities fit for purpose • Single en-suite bedroom for patients • Key Figures: • Projected capital fund of around £500 m • Preferred option – single site M4 (J8/9) • At least 70% funded via capital resale • Expected pop. increase of 9% between 2008 & 2018 • Improve financial resilience • Improve efficiency and effectiveness of services • Achieve lowest carbon footprint for UK hospital Sustainable Staff • Optimising departmental & functional relationships • Make patient processing more efficient Access • Good parking facilities • Public transport improvements • Better location for larger population Source: Site visits; Own Analysis

3. CURRENT HOSPITAL MAP/ LOCATION OF NEW HOSPITAL • Fragmented hospital landscape across region • Larger hospitals mostly found on outskirts • Inter-departmental services made more difficult by location disparities • Long-term solution to fragmented hospital landscape is consolidation of acute hospital sites on to a single site • Regional hospital situated on M4 most cost effective and efficient solution to tackle future healthcare demand in our region. Source: Own Analysis/ Autoroute Map

4. DEMOGRAPHIC ANALYSIS I Forecasted and total regional population estimates by district for 2011 and 2022 In 000’ 1.1% Current hospital landscape showing difficulties in dealing with increasing population. It will have to adapt to its future trends. Source: Office for National Statistics: Sub-national population projections; East Berkshire Primary Care Trust, Annual Report 2010

5. DEMOGRAPHIC ANALYSIS II Percentage of the population aged 65+ in local authorities in England: estimates and projections, 2005-2035 In % Population projections for area indicate that over period to 2019 an ageing pop. will lead to change in the nature and an increase in the type of health service provision required in future. Source: Office for National Statistics: Sub-national population projections; East Berkshire Primary Care Trust, Annual Report 2010

6. FINANCING THE PROJECT I • The total capital recovered is divided between Option 1 and Option 2: • OPTION 1: Residential development on 70 per cent of the total site area • OPTION 2: Residential development on the current building footprint • The table on the next slide shows the estimated receipts that would be realised from • consequent land sales and accommodation development. • I acknowledge that land values can be volatile and uncertain. I have used the latest • property development costs available. • The actual property value varies according to land purchase price, which will have to • be deducted from the total capital raised. Source: Own Analysis, Estimates based on current market values from Primelocation.com Notes: All numbers are estimates:Assuming that the properties would be converted into residential flatsAverage local area 2 bed flats valuation from Prime LocationAssuming that 2 bed flat = 75m2

7. FINANCING THE PROJECT II Summary Capital recovered from Hospital Sales

8. RTVH PROJECT COST • On the basis of the above analysis: • Total cost of new acute hospital for the region would be in the region of £500-550 million. • Further expenditure required on community sites may take total cost to ~ £750 million. • Funding could be secured from within region. Even if additional capital was required from central government, I believe that this would be more than justified for two reasons: • Projected local increase in population over the coming decades would support a viable business plan within any future regional health economy • Relative under-funding (when compared to other parts of country) of the region’s healthcare spending over the last decade (see comparison table 7 in the Appendix)

9. Summary of New Services at New Hospital • Primary Trauma Centre • 24 Hour Cardiac Unit • 24 Hour Stroke Unit • Enhanced Surgical Services

10. Summary of Enhanced Community Services • Specialist Out-Patient Appointments • Post-Operative Rehabilitation • Chronic Care Treatment, e.g. renal dialysis • Minor Injury Units

11. Conclusion • Remember - total cost of project is <0.1% of central government’s annual NHS spending budget. • This plan will help ensure that the very best healthcare is provided to >650,000 local people for the next 40 years. • Hence, deciding to spend £750 million in one of the most affluent and economically-vibrant parts of Europe seems a modest investment to me.

12. Thank You